The Significance: Preterm births, longer hospital stays and complications from multiple gestations
are sending health-plan costs over $1 million.
Despite the great advances in perinatal & maternal mortality multiple gestations
still presents formidable hazards both to the mother & her baby.
From this perspective, selective termination is not so much an extension of women's reproductive choice as it is the extension of control over women's reproductive capacity-through the use of fertility drugs, GIFT, and IVF as "solutions" to infertility that often result, when successful, in multiple gestations
; through the provision of a technology, selective termination, to respond to multiple gestation
that may create much of the same ambivalence for women as is generated by abortion; and finally through the imposition of limitations on women's access to the procedure.
Physician performance on the prediction of the delivery date and diagnoses of placenta previa, ectopic pregnancy, multiple gestation
, fetal death, fetal anomalies, and fetal sex are presented in Table 5.
A technique similar to amniocentesis (in which the uterine cavity is entered) has been used to terminate selectively a defective fetus, when a serious fetal anomaly, such as Down syndrome, occurs in a multiple gestation
METHODOLOGY: A prospective observational study was performed on 50 women with multiple gestation
who attended our department between Oct 2007 and July 2010.
is a high risk pregnancy associated with increased maternal and fetal complications.
The USPSTF, on the other hand, takes a broader approach, recommending that women with a history of preeclampsia and those with multiple gestation
, chronic hypertension, diabetes mellitus, renal disease, or autoimmune disease should receive low-dose aspirin.
A 7th character of 0 will be reported if this is a singleton pregnancy, and the numbers 1 through 5 and 9 refer to which fetus of the multiple gestation
has the problem.
reduction; Amniocentesis; Cervical cerclage; Cervicography (cervigram); Cesarean section - elective; Chorionic villus sampling; Colposcopy Direct access for OB/GYN services, Dilation and Curettage (D & C), D & C plus hysteroscopy, D & C, Hysteroscopy plus pelvic laparoscopy - same day; Family Planning Services - birth control devices and genetic counseling, Norplant, Oral contraceptives - sterilization - tubal ligation/vasectomy, Sterilization - Tubal ligation or vasectomy, OTC products; Fetal fibronectin testing for preterm labor and delivery risk; Genetic Counseling and Testing; Home births; Hysterectomy; Outpatient hysterectomy; Hysteroscopy/Hysterosonography;
So we may be able to increase that pregnancy rate as well and minimize the multiple gestation
But the multiple gestation
rate for letrozole was higher than the rate for clomiphene (2.